US20110172719A1 - Locking Bone Screw and Spinal Plate System - Google Patents

Abstract

A bone plate system including a bone plate and a bone screw with an integrated locking mechanism is disclosed. The bone screw includes an elongate member having a threaded shank and a bone screw head that is radially deformable. The integrated locking mechanism sits within the bone screw head and can rotate between a locked condition and an unlocked condition. When the bone screw head is seated within an aperture in the bone plate, rotating the integrated locking mechanism into the locked condition helps to prevent bone screw backout.

Description

FIELD
• The present invention relates to fixation devices used in orthopedic and spinal surgery and particularly to bone fixation plate systems that include locking bone screws to prevent bone screw backout.
BACKGROUND
• For a number of known reasons, bone fixation devices are useful for promoting proper healing of injured or damaged vertebral bone segments caused by trauma, tumor growth, or degenerative disc disease. The fixation devices immobilize the injured bone segments to ensure the proper growth of new osseous tissue between the damaged segments. These types of bone fixation devices often include internal bracing and instrumentation to stabilize the spinal column to facilitate the efficient healing of the damaged area without deformity or instability, while minimizing any immobilization and post-operative care of the patient.
• One such device is an osteosynthesis plate, more commonly referred to as a bone fixation plate, that can be used to immobilize adjacent skeletal parts such as bones. Typically, the fixation plate is a rigid metal or polymeric plate positioned to span bones or bone segments that require immobilization with respect to one another. The plate is fastened to the respective bones, usually with bone screws, so that the plate remains in contact with the bones and fixes them in a desired position. Bone plates can be useful in providing the mechanical support necessary to keep vertebral bodies in proper position and bridge a weakened or diseased area such as when a disc, vertebral body or fragment has been removed.
• It is known that in bone plate systems in general, and in those systems used for stabilization of the spinal column in particular, a loosening of the bone screws which secure the bone plate to the bone segment can occur. When the bone screws become loose, they may move in an axial direction (i.e., screw back out may occur).
• Conventional bone plate systems offer several options for securing the bone screws to the bone plate and preventing screw backout. For example, some systems rely on split rings positioned between the bone screw and the bone plate; other system use bone screw covers that are mated to the bone plate in a position above an implanted bone screw; and still other systems use a locking screw that is driven into the top of an implanted bone screw. Despite the existence of these bone plate systems, there remains a need for an effective bone screw locking mechanism that can be installed and actuated with ease and efficiency.
SUMMARY
• Disclosed herein is a bone screw with an integrated locking mechanism that helps to prevent bone screw backout after implantation. The bone screw and locking mechanism are effective and easy to use. In addition, the bone screw can be implanted and the locking mechanism engaged with a minimal number of steps. For example, the bone screw can be implanted and the locking mechanism engaged with the same tool.
• In one embodiment, the bone screw comprises an elongate member having a threaded shank and a head at a proximal end thereof. The head, which is radially deformable, is defined by an outer wall that defines an inner hollow region. An inner surface of the outer wall has a circumferential groove that seats a screw locking mechanism. The screw locking mechanism can be rotated between a locked condition and an unlocked condition.
• In one aspect, at least one axially oriented slot is formed in the outer surface of the head, extending distally from the proximal end of the screw. In an unlocked condition, locking features of the locking mechanism are aligned with the slot(s) to permit radial deformation of the head. In the locked position, the locking features abut the inner surface of the outer wall of the head to prevent radial deformation of the head.
• At least a portion of the bone screw head has a spherically shaped outer surface that is interrupted by the axially oriented slots formed in the outer wall. The slots, as noted above, allow the bone screw head to deform, for example to reduce its diameter. The locking mechanism can have a substantially circularly shaped first portion that is adapted to be rotatably disposed within the seating groove, and a second portion, proximal to the first portion, that includes at least one locking feature adapted to engage the inner surface of the outer wall in a locked condition. In addition, the bone screw head can have a drive feature formed at a distal portion of the hollow region and the locking mechanism can have a drive feature formed in a central portion thereof. The drive features are adapted to mate with complementary drive elements on a driver tool.
• In another aspect, a bone plate system includes at least one bone screw of the type noted above with an integrated locking mechanism, and a bone plate. The bone plate has a first surface, a second, bone-contacting surface opposed to the first surface, and at least one aperture extending through the first and second surfaces. The aperture has a predefined shape and size, and it is configured to seat a bone screw such that the head of the bone screw undergoes radial deformation, at least upon initial passage into the aperture.
• At least a portion of the locking mechanism is rotatably disposed in the seating groove within the bone screw head such that the locking mechanism can be rotated relative to the bone screw between a locked condition and an unlocked condition. In one embodiment, the unlocked condition allows radial deformation of the head, and the locked condition prevents radial deformation of the head by way of a locking feature that abuts a portion of the inner surface of the outer wall.
• The bone screw and locking mechanism each can include drive features. For example, the head of the bone screw can have a first drive feature formed at a distal portion of the hollow region and the locking mechanism can have a second drive feature. In one aspect, the first and second drive features are positioned coaxially with the first drive feature positioned distally to the second drive feature.
• In one embodiment, the bone plate system includes a driver tool adapted to mate with the first and second drive features to implant the bone screw and to actuate the locking mechanism. The driver tool can include a proximal handle portion and a distal mating area that includes a first driver element adapted to mate with the first drive feature and a second driver element adapted to mate with the second drive feature. The proximal handle portion can include first and second handle portions capable of selective independent movement such that one handle can be rotated relative to the other. In one embodiment, the driver tool can drive the bone screw into bone and subsequently the second drive feature can be independently rotated to actuate the locking mechanism without removing the tool.
BRIEF DESCRIPTION OF THE DRAWINGS
• The invention can be more fully understood from the following detailed description taken in conjunction with the accompanying drawings, in which:
• FIG. 1 is a perspective view of an exemplary embodiment of the bone plate system including a bone plate with bone screws having an integrated locking mechanism;
• FIG. 2A is a perspective view of an embodiment of a bone plate useful with the present system;
• FIG. 2B is a sectional side view of the bone plate shown inFIG. 2A along lines2B-2B;
• FIG. 2C is a partial, sectional side view of an aperture of the bone plate ofFIG. 2A along lines2B-2B;
• FIG. 2D is a sectional side view of a portion of a bone plate having a bone screw disposed therein;
• FIG. 3 is a perspective view of an embodiment of a bone screw useful with the system ofFIG. 1;
• FIG. 4A is a perspective view of an embodiment of a locking mechanism that can be integrated within the bone screw described herein;
• FIG. 4B is a perspective view of the locking mechanism ofFIG. 4A in a locked condition;
• FIG. 4C is a perspective view of an embodiment of a bone screw adapted to receive the locking mechanism ofFIGS. 4A and 4B;
• FIG. 4D is a perspective view of the bone screw ofFIG. 4C with the locking mechanism ofFIG. 4A integrated therein;
• FIG. 4E is a perspective view of the bone screw and locking mechanism ofFIG. 4D with the locking mechanism in a locked condition;
• FIG. 5A is a perspective view of an embodiment of a locking mechanism that can be integrated within the bone screw described herein;
• FIG. 5B is a top view of the locking mechanism ofFIG. 5A;
• FIG. 6A is a top view of an embodiment a bone screw with a locking mechanism in a locked condition;
• FIG. 6B is a top view of the bone screw ofFIG. 6A with a locking mechanism in an unlocked condition;
• FIG. 7A is an embodiment of an installation/locking instrument useful with the bone plate system;
• FIG. 7B is a perspective view of the distal end of the driver tool shown inFIG. 7A; and
• FIG. 7C is a perspective view of the distal end of the driver tool shown inFIG. 7A in an alternative configuration.
DETAILED DESCRIPTION OF THE EXEMPLARY EMBODIMENTS
• Certain exemplary embodiments will now be described to provide an overall understanding of the principles of the structure, function, manufacture, and use of the devices and methods disclosed herein. One or more examples of these embodiments are illustrated in the accompanying drawings. Those skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary embodiments and that the scope of the present invention is defined solely by the claims. The features illustrated or described in connection with one exemplary embodiment may be combined with the features of other embodiments. Such modifications and variations are intended to be included within the scope of the present invention.
• The following exemplary embodiments are described herein with reference to bone screws with bone plates that span and immobilize adjacent vertebral bodies in spinal fixation techniques. However, it is understood that the bone screws and bone plate systems described herein may be applicable to the fixation of any type of adjacent bones or bone segments.
• FIG. 1 illustrates one embodiment of thebone plate system10 including bone screws12 andbone plate14 havingapertures16. Bone screws12 are implanted throughapertures16 to fixbone plate14 to bone (e.g., vertebral bodies). Eachbone screw12 includes a locking mechanism18 that is movable between locked and unlocked positions. In the unlockedcondition bone screw12 is able to pass into an aperture within the plate and in the locked position the bone screw head is prevented from backing out of the aperture. The locking mechanism can be integrated (e.g., pre-assembled) within the screw head, or it can be assembled within the screw head on demand.
• Bone screw12 with locking mechanism18 can be locked within a variety of bone plates that includeapertures16 having shapes and dimensions suitable to receivebone screw12 and enable the bone screw to be locked therein. Exemplary plates include bone plates having anaperture16 with anupper diameter20 sized such thatbone screw12 with locking mechanism18 in the locked condition is not able enter or exit thoughupper diameter20.
• FIGS. 2A and 2B illustrate one suchexemplary bone plate14. As shown in the sectional side view ofbone plate14 provided inFIGS. 2B and 2C,aperture16 has a variable diameter. The upper portion22 ofaperture16 can have anupper diameter20 while thelower portion24 includes alower diameter26. Positioned between the upper andlower portions22,24 is acentral portion28 with acentral diameter30 that is larger than the upper andlower diameters20,26. As shown inFIG. 2D, the bone screw head can be locked within the larger diametercentral portion28 of thebone screw aperture16.
• FIG. 3 shows anexemplary bone screw12 for positioning withinaperture16 that includes anelongate body32 having adistal shank34 andproximal head36. Thedistal shank34 can includethreads38 for fixingbone screw12 to bone. A variety of bone screw threads adapted for fixing the bone screw and/or taping bone can be positioned on all or a portion ofshank34. In addition, one skilled in the art will appreciate that a variety of thread patterns and sizes can be used.
• Bone screw head36 can have a variety of shapes including partially spherical, tapered, and irregularly shaped. In one embodiment,head36 has a generally spherical shape corresponding to the shape of thecentral portion30 ofaperture16. In another embodiment, the shape ofhead36 includes a tapered top portion and a tapered bottom portion.
• Thehead36 of thebone screw12 includes awall42, with aninner surface44 andouter surface46, that defines a hollowinterior region48. The bone screw head can be constructed in a variety of ways. In one embodiment, however, it should be able to deform radially.
• In one aspect, the screw head is not able to fit within an aperture of the bone plate in its normal configuration. However, at least a portion ofwall42 is deformable, and the deformation enables the head of the screw to pass through and be seated in an aperture. For example, thewall42 can be deflected inwardly when a compressive force (i.e., caused by passing the screw head through an aperture) is applied to theouter surface46.Wall42 may also be somewhat resilient such that after a compressive force is removed from thewall42, the outer wall is able to return to its original shape and dimensions.
• Generally, the bone screw head should be capable of deforming by a magnitude sufficient to allow it to fit within an aperture of a plate, for example, the outer diameter of the head can be reduced by approximately 0.001 to approximately 0.5 mm. The amount of deformation can dependent on the material(s) used to construct the bone screw and the type of structure into which the bone screw will be implanted. In one embodiment, the bone screw is a titanium bone screw sized for insertion into a cervical vertebra and the outer diameter of the head can be reduced by approximately 0.001 to approximately 0.25 mm.
• To enable deformation,wall42 can, in one embodiment, include axially orientedslots50 to facilitate deformation of the head. As shown inFIG. 3,slots50 can extend throughwall42 from theouter surface46 toinner surface44. In addition, the slots can extend distally from the proximal-most surface of the head through most of the height ofouter wall42 to define individuallydeflectable tabs52. The space provided byslots50 allowstabs52 to deform (i.e., flex inwardly or outwardly) and to thereby alter the outer diameter ofbone screw head36 defined bywall42. One skilled in the art will appreciate the width of the slots and the number of slots can vary depending on the desired amount of deflection in the outer wall. In one embodiment, however, fourslots50 are formed, thereby creating fourtabs52.
• The hollowinterior region48 ofbone screw head36 can include additional features, such as a drive feature that is complementary with a driver element on a driver tool. For example, in the embodiment illustrated inFIG. 3, adrive feature54 is positioned in the bottom surface of hollowinterior region48 in the form of a rectangularly shaped female drive feature. While thedrive feature54 illustrated inFIG. 3 is square, one skilled in the art will appreciate that it can have a variety of shapes capable of receiving a complementary driver element. For example, drivefeature54 can have other rectangular shapes or it can be triangular, hexagonal, oval, irregular, etc. In a further aspect, drivefeature54 could be a threaded female element that is able to receive a threaded male driver member. In addition, while thedrive feature54 is shown as a female socket, thedrive feature54 can be a male member that is capable of mating with a complementary female driver element.
• The hollowinterior region48 of the bone screw head is also configured to receive an integrated screw locking mechanism18.Inner surface44 of thebone screw head36 can have a variety of a mating features adapted to receive screw locking mechanism18 and maintain the locking mechanism therein. In one aspect, the locking mechanism is seated within a mating feature during assembly of the bone screw. However, the locking mechanism could alternatively be positioned within the bone screw head by a user.
• In one embodiment, the mating feature is agroove56 that extends around the circumference ofinner surface44 to receive a portion of bone screw locking mechanism18. One skilled in the art will appreciate that a variety of mating features, including, for example, grooves, threads, and/or raised features can be positioned with hollowinterior region48 for integrating the locking mechanism inbone screw head36. In addition, as discussed below, multiple mating features can be disposed oninner surface44.
• A variety of locking mechanisms can sit within the mating feature(s) of thebone screw head36 and be adapted to prevent deformation and/or to deformbone screw head36. Exemplary locking mechanisms include disc-like locking mechanisms and locking rings. In one embodiment, lockingmechanism18aincludes a split ring that sits in a first position whenbone screw head36 is in an unlocked condition and sits in a second position whenbone screw head36 is a locked condition.FIG. 4A illustrates lockingmechanism18ain an unlocked condition in which openspace19 allows the diameter of lockingmechanism18ato be reduced when a compressive force is applied.FIG. 4B shows lockingmechanism18ain a locked condition andspace19 closed such that the diameter of the locking mechanism cannot be further compressed.
• The bone screw can have a variety of features suitable to seat a locking mechanism such asring18a. In one embodiment,inner surface44 ofbone screw head36 can include two or more grooves adapted to receive splitring locking mechanism18a. Theinner surface44, as shown inFIG. 4C, can include a first,proximal groove56aand a second,distal groove56b. In one embodiment, theproximal groove56ahas a larger diameter then thedistal groove56bsuch that when the locking mechanism is seated ingroove56a, the locking mechanism is in an unlocked condition (FIG. 4D), and when the locking mechanism is seated ingroove56bthe locking mechanism is in a locked condition (FIG. 4E). Other useful features suitable to seat lockingmechanism18ainclude helical grooves and threads.
• When the locking mechanism is in an unlocked condition,space19 allows lockingmechanism18ato be compressed andtabs52 to deflect inward to reduce the diameter of bone screw head36 (FIG. 4D). However, when moved intogroove56b,locking mechanism18aconforms to the smaller diameter of the groove andspace19 is closed (or reduced). Withspace19 closed, the inability (or diminished ability) oflocking mechanism18ato further compress preventstabs52 from deforming. The bone screw head thus cannot be sufficiently deformed to allow passage through theupper diameter20 ofaperture16.
• Movement of lockingmechanism18afromgroove56ato56bcan be achieved by radially compressinglocking mechanism18aand moving the locking mechanism longitudinally. In an alternative embodiment, theinterior surface44 could be threaded (not shown), and the locking mechanism can be moved between a locked and unlocked condition by rotating the locking mechanism.
• In an alternative embodiment of the locking mechanism, lockingmechanism18bis a disc-like member that includes two portions, one that is seated within thebone screw head36 and another that performs the locking function.FIGS. 5A and 5B illustrate an exemplary locking mechanism that includes adistal portion58, which mates withbone screw head36, and a proximal portion60, which includes locking features such asprotrusions62. Thedistal portion58 can be seated within a single groove56 (FIG. 3) in such a way that the locking mechanism is able to rotate relative to the bone screw. In one example, thedistal portion58 can be generally circular in shape.
• Lockingmechanism18bcan also have a variety of alternative configurations. In one aspect, lockingmechanism18bcould be inverted such that the proximal portion60 of lockingmechanism18bmates with the bone screw head, and thedistal portion58 contains the locking features. In yet another aspect, the locking mechanism can be in the form of a member with a single portion that both mates with the bone screw head and includes locking features.
• The relative size of proximal anddistal portions60,58 can be adapted to permanently seat lockingmechanism18bwithingroove56. For example, as shown inFIG. 5B, a maximum width W of proximal portion60 can be slightly less than the diameter D ofdistal portion58 to providedistal portion58 with an offset O. The offset O defines the portion ofdistal portion58 that extends intogroove56 and holds lockingmechanism18bwithinhollow interior48. In one exemplary embodiment, the offset is in the range about 0.1 mm to 0.5 mm.
• The maximum width W of proximal portion60 of lockingmechanism18bcan be sized to contactwall42 when the locking mechanism is rotated into the locked position. For example, proximal portion60 can have a generally circular shape withprotrusions62 that form cam-like lobes.Protrusions62 can be sized such that when they are in the locked position they abutinner surface44 ofwall42 to either prevent the outer wall from radially deforming under a compressive force or to radially expand the outer wall. In an exemplary embodiment placing the locking mechanism in the locked position prevents the head from deforming (i.e., from deflecting inwardly). However, one skilled in the art will appreciate that the bone screw and locking mechanism can be configured such that the locking mechanism operates by causing an increase in the diameter of the head when it is placed in the locked condition, as discussed below.
• The size ofprotrusions62, is defined as the different between W, the maximum width of proximal portion60 and w the minor width of proximal portion (FIG. 5B). The size ofprotrusions62 corresponds to the maximum amount of deflection whichdeflectable tabs52 can achieve. In one embodiment, theprotrusions62 have a size in the range of approximately 0.2 mm to approximately 0.7 mm.
• FIG. 6A illustrates a bone screw head with lockingmechanism18bin the locked position. As shown,protrusions62 are positioned in contact withdeflectable tabs52. In this position, thetabs52 are prevented from deflecting in response to a compressive force due to the positioning ofprotrusions62. The unlocked position can be achieved by rotating the locking mechanism such that theprotrusions62 are aligned with theslots50 formed betweendeflectable tabs52. In this position, shown inFIG. 6B,deflectable tabs52 are free to deflect inwardly in response to a compressive force. As discussed above, in an exemplary embodiment, inward deflection of the tabs reduces the outer diameter ofbone screw head36 and allows the bone screw head to pass intoaperture16 through the top portion22 thereof, which has a reduced diameter.
• Lockingmechanism18bis dimensioned and positioned within thebone screw12 such that when a compressive force is applied tobone screw head36, thedistal portion58 of lockingmechanism18bdoes not interfere with the deformation oftabs52. For example, diameter D ofdistal portion58 can be such that thatlocking mechanism18bis allowed some play within thegroove56. The diameter of the groove can be larger than diameter D of the locking mechanism disposed within the groove. The difference in the diameters allows some space between the outer edge ofdistal portion58 and the inner surface ofgroove56. Whenbone screw head36 begins to deform, this space allowsouter wall42 to compress without immediately encountering, and being prevented from deforming by, thedistal portion58 of lockingmechanism18b.
• As noted above, in another embodiment, lockingmechanism18aor18bcan be adapted to expandbone screw head36 to lockbone screw head36 withinaperture16. For example, lockingmechanism18bcan be dimensioned such that the maximum width W of proximal portion60 is larger than the internal diameter of thehollow interior48. Rotatingprotrusions62 into position behindtabs52 would thus expandbone screw head36 to occupy the largercentral diameter30 ofaperture16 and thereby preventbone screw head36 from passing through the top portion22 of the aperture which hasupper diameter20. As discussed above, the magnitude of screw head deformation depends on the materials from which the bone screw is made and the size and/or intended use of the bone screw. In one aspect, the bone screw head can expand by approximately 0.1 to approximately 0.5 mm to lock the bone screw head inaperture16.
• Lockingmechanism18aor18bcan also include other features such as a drive feature adapted to mate with a complementary portion of a driver tool for shifting the locking mechanism between a locked and an unlocked position. For example, lockingmechanism18bcan include adrive feature66 adapted to receive a driver tool for rotating the locking mechanism between a locked and an unlocked position. As shown inFIGS. 5A through 6B, drivefeature66, likedrive feature54 in bone screw head36 (FIG. 3), can be in the form of a female opening adapted to receive a drive element on a driver tool. For example, drivefeature66 can be a rectangular (e.g., square) opening that is centrally formed in the locking mechanism. One skilled in the art will appreciate that a variety of drive features can be used to rotatelocking mechanism18b. For example, drivefeature66 can be a female opening having a variety of other shapes (e.g., triangular, rectangular, hexagonal oval, irregular, etc.) capable of mating with the driver element. Further, as discussed with respect to thedrive feature54 inbone screw head36, thedrive feature66 can alternatively be configured as a male member that mates with a complementary female drive element on a driver tool.
• In one embodiment, both thelocking mechanism18band thebone screw head36 can be adapted to receive a single driver tool for installingbone screw12 within bone androtating locking mechanism18bbetween the locked and unlocked positions. For example, thedrive feature66 can be positioned coaxially with and proximal to drivefeature54, and it can be sized such thatdistal drive feature54 can be accessed through the proximally positioneddrive feature66. A single driver tool can then access both drive features54,66 and perform the steps of implanting the bone screw and locking the locking mechanism without removing the driver tool. As such, a surgeon can implant the bone plate system with fewer steps while using fewer tools.
• One such exemplary driver tool70 is illustrated inFIGS. 7A through 7C. As shown driver tool70 can include an elongate body having proximal first andsecond handle portions74,76 and corresponding distal first andsecond driver elements78,80 adapted to mate withdrive feature54 and drivefeature66, respectively. Thedriver elements78,80 are shaped and sized to mate with drive features54,66 ofbone screw12 andlocking mechanism18b, respectively. For example, thefirst mating portion78 is shaped for insertion into the bone screw12 (FIG. 3), while the larger,proximal mating portion80 is adapted to mate withdrive feature66 of the locking mechanism.
• In one embodiment, an outer body sheath82 connectshandle portion76 anddriver element80. The outer body sheath82 is positioned overshaft83 which connects handle74 todriver element78. The bone screws can be installed by mating thedriver element78 with thedrive feature56 within the screw head. Rotation of thehandle74 will in turn cause the bone screw to rotate so that it can be driven into bone. Since neither theshaft83 nor handle74 is mechanically linked to sheath82, rotation ofhandle74 will not cause sheath82 ordriver element80 to rotate. Oncebone screw12 is implanted, andbone screw head36 is seated withinaperture16, a surgeon can then rotate only handle76 on shaft82 causing thedriver element80 to rotate independent ofdriver element78, and lock the locking mechanism within the bone screw head.
• FIGS. 7B and 7C illustrate the independent movement of the first and second mating portions that facilitate actuation of the locking member. For example,FIG. 7B shows thesecond driver element80 in an unlocked position, whileFIG. 7C shows thesecond driver element80 rotated 45 degrees relative to thefirst driver element78 to rotatelocking mechanism18binto a locked position.
• To assist with locking the locking mechanism, a visual indicator or a stop can signify when the locking mechanism is positioned in the locked position. For example, a marker on the locking mechanism could be positioned to line up with a corresponding marker on the bone screw head when the locking mechanism is rotated into the locked position. In use, a surgeon would line up the markers to lock the bone screw in the aperture. A pair of markers could alternatively be positioned on driver tool70 to indicate the relative position ofdriver element78,80 and thus the locked or unlocked condition ofbone screw12. In another embodiment, a stop could be placed inside the bone screw head to prevent rotation of the locking mechanism past the locked position. The stop, for example, could allow rotation of the locking mechanism from an unlocked position to an adjacent locked position, but not allow the locking mechanism to rotate further. In another embodiment, the stop can be located in the driver tool to limit rotation of the outer sheath relative to the inner shaft. Rotation ofdriver element78 relative todriver element80 could then be limited to movement between an unlocked and an adjacent locked position.
• One skilled in the art will appreciate that multiple driver tools can also be used withbone screw12. For example, a first driver tool adapted can be adapted to mate withdrive feature54 for implanting the bone screw, while a second driver tool can be adapted for mating withdrive feature66 for locking the bone screw in position.
• Thebone plate system10, as disclosed herein, can include a variety of bone screw/bone plate kinematics. For example,bone plate14 andbone screw12 can be adapted such that whenbone screw12 is locked inbone plate14, the bone screw is rigidly fixed and movement of the screw in any direction is prevented. The bone plate system can also be of a semi-rigid type in which after a screw locking mechanism is engaged, screw backout is prevented, but the screw is able to move in all directions (i.e., polyaxially). Further, the bone plate system can also be of a hybrid type in which after the screw locking mechanism is engaged, screw backout is prevented, but the screw is able to move in only one selected direction (e.g., the superior-inferior or the transverse direction). Moreover, the bone screws may translate within an aperture of a plate. For example, a bone screw may translate along the length of an elongated slot defining an aperture in the plate.
• The components of the exemplary bone plate systems described herein may be constructed of any biocompatible material including, for example, metals, such as stainless steel and titanium, polymers, and composites thereof. In certain exemplary embodiments, the bone plate system may be constructed of a bio-resorbable material, such as, for example polylactic acid (PLA) and polyglycolic acid (PGA), and blends or copolymers thereof.
• One skilled in the art will appreciate further features and advantages of the invention based on the above-described embodiments. Accordingly, the invention is not to be limited by what has been particularly shown and described, except as indicated by the appended claims. All publications and references cited herein are expressly incorporated herein by reference in their entirety.

Claims (18)

1-46. (canceled)

47. A bone screw, comprising:

an elongate member having a threaded shank, and a head at a proximal end thereof, the head being radially deformable and being defined by an outer wall defining an inner hollow region;

a mating feature formed in an inner surface of the outer wall of the head; and

a screw locking mechanism configured to engage the mating feature, wherein

when the screw locking mechanism is engaging the mating feature, the screw locking mechanism is configured to rotate between a locked condition and an unlocked condition,

when in the locked condition, the screw locking mechanism prevents deformation of the head,

when in the unlocked condition, the screw locking mechanism permits deformation of the head, and

the screw locking mechanism is configured to engage the mating feature when the threaded shank is being threaded into bone.

48. The bone screw ofclaim 47, wherein the mating feature comprises a groove, the screw locking mechanism being configured to be seated in the groove.

49. The bone screw ofclaim 47, wherein the screw locking mechanism has a first portion configured to engage and be rotatably seated in the groove, and a second portion configured to not engage the groove and to be positioned within the inner hollow region of the head, and

wherein a maximum width of the second portion is less than a maximum width of the first portion to provide the first portion with an offset such that the offset extends into the groove to hold the second portion within the inner hollow region of the head.

50. The bone screw ofclaim 49, wherein the first portion is substantially circular shaped, and the groove extends circumferentially about the inner surface.

51. The bone screw ofclaim 49, wherein the first portion is proximal to the second portion when the first portion is rotatably seated in the groove.

52. The bone screw ofclaim 49, wherein the first portion is distal to the second portion when the first portion is rotatably seated in the groove.

53. The bone screw ofclaim 49, wherein, when in the locked condition and when in the unlocked condition, the first portion of the screw locking mechanism is seated in the groove such that the second portion cannot be removed from the inner hollow region of the head.

54. The bone screw ofclaim 47, wherein the head has one or more axially oriented slots formed in the outer wall and extending into the hollow region.

55. The bone screw ofclaim 54, wherein the screw locking mechanism has one or more locking features configured to be misaligned from the slots when the screw locking mechanism is in the locked condition, each of the one or more locking features being configured to align with one of the slots when the screw locking mechanism is in the unlocked condition.

56. The bone screw ofclaim 47, wherein, when in the locked condition and when in the unlocked condition, the screw locking mechanism engages the mating feature such that the screw locking mechanism cannot be removed from being at least partially disposed within the inner hollow region of the head.

57. The bone screw ofclaim 47, wherein, when in the locked condition, the screw locking mechanism prevents the head from deflecting radially inward.

58. The bone screw ofclaim 47, wherein, when rotating from the unlocked condition to the locked condition, the screw locking mechanism causes the head to deflect radially outward such that an outer diameter of the head increases, and

wherein, when rotating from the locked condition to the unlocked condition, the screw locking mechanism causes the head to deflect radially inward such that the outer diameter of the head decreases.

59. A system comprising:

the bone screw ofclaim 47; and

a driver tool,

wherein the head has a first drive feature, the screw locking mechanism has a second drive feature, and the driver tool is configured to independently actuate the first and second drive features.

60. The system ofclaim 59, wherein the driver tool is configured to actuate the first and second drive features when the screw locking mechanism is engaging the mating feature.

61. A bone screw, comprising:

an elongate member having a threaded shank, and a head at a proximal end thereof, the head being radially deformable and being defined by an outer wall defining an inner hollow region;

a seating groove formed in an inner surface of the outer wall; and

a locking disc permanently seated in the seating groove, the locking disc being rotatable within the seating groove between a locked condition and an unlocked condition, the locking disc in the locked condition preventing radial deformation of the head, and the locking disc in the unlocked condition permitting radial deformation of the head.

62. The bone screw ofclaim 61, wherein the locking disc has one or more locking features configured to engage an inner surface of the outer wall to prevent radial deformation of the head when the locking disc is in the locked condition, and configured to not engage the inner surface of the outer wall to permit radial deformation of the head when the locking disc is in the unlocked condition.

63. The bone screw ofclaim 61, wherein the locking disc has a substantially circular shaped first portion seated within the seating groove, and a second portion that includes one or more locking features that are each configured to abut the inner surface of the outer wall when the locking disc is in the locked condition and are each configured to not abut the inner surface of the outer wall when the locking disc is in the unlocked condition.

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